NPI | 1588190532 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.2203547) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LICDC.162510) |
104100000X Social Worker (Licence: OH S.1502432) | |
Enumeration Date | 2017-05-11 |
Last Update Date | 2024-11-21 |